Impact of achieving glycated hemoglobin targets on cardiovascular events/mortality: <i>Post-hoc</i> analysis of the nephropathy in diabetes type 2 trial

In high-risk patients with T2D receiving standard care, achieving an HbA1c ≤ 7% was associated with fewer cardiovascular events only under standard care, but not with reduced mortality. This association was not observed in patients managed with a multifactorial strategy. These findings suggest that the prognostic value of glycemic control depends on the broader treatment context and highlight the central role of comprehensive risk factor management in microvascular-complicated T2D.

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Publication Details

Journal
World Journal of Diabetes
Published
2025-11-14
DOI
https://doi.org/10.4239/wjd.v16.i11.111698
Primary Topic
Diabetes Treatment and Management
Type
article
Field-Weighted Citation Impact
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article

Impact of achieving glycated hemoglobin targets on cardiovascular events/mortality: Post-hoc analysis of the nephropathy in diabetes type 2 trial

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Impact of achieving glycated hemoglobin targets on cardiovascular events/mortality: Post-hoc analysis of the nephropathy in diabetes type 2 trial

Vincenzo Russo, Luca Rinaldi, Roberto Minutolo, Raffaele Galiero, Raffaele Marfella, Alfredo Caturano, Teresa Salvatore, Vittorio Simeon, Paolo Chiodini, Erica Vetrano, Ferdinando Carlo Sasso, Carlo Acierno, Caterina Conte, Celestino Sardu, Luca De Nicola
article en

Abstract

In high-risk patients with T2D receiving standard care, achieving an HbA1c ≤ 7% was associated with fewer cardiovascular events only under standard care, but not with reduced mortality. This association was not observed in patients managed with a multifactorial strategy. These findings suggest that the prognostic value of glycemic control depends on the broader treatment context and highlight the central role of comprehensive risk factor management in microvascular-complicated T2D.

World Journal of DiabetesVol. 16(11)
San Raffaele University of Rome (IT)
Openalex Percentile: Top 54%
Diabetes Treatment and Management
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